thursday 11th

Question 1

what are the 3 core symptoms of depression

Answer 1

anhedonia
anergia
low mood

Question 2

mechanism of action of TCA

Answer 2

block reuptake of monoamines (dopamine, serotonin, NA and adrenaline)

Question 3

side effects of lithium

Answer 3

strange taste/dry mouth
polydipsia/polyuria
tremor
hypothyroid
nephrotoxic
weight gain

Question 4

how long after starting an antidepressant should you review someone

Answer 4

1-2 weeks

Question 5

symptoms of lithium toxcitity

Answer 5

coarse tremor (a fine tremor is seen in therapeutic levels)
hyperreflexia
acute confusion
polyuria
seizure
coma

Question 6

treatment of lithium toxicty

Answer 6

saline resus
haemodialysis if bad

Question 7

first rank symptoms of schizophrenia

Answer 7

tough disorder
audiotry hallucination
passivity phenomenon
delusions

Question 8

the 5 dopamine pathways in the brain

Answer 8

meso-limbic
mesocortical
tuberoinfundibulnar
nitro-striatal
hypothalamospinal

Question 9

how long does and emergency setention order lst

Answer 9

72 hours

Question 10

how long does cto last

Answer 10

up to 6 months initiallly

Question 11

how would you manage EPSE from anti-psychotic

Answer 11

procyclidine

Question 12

treatment of neuroleptic malignant sydrome

Answer 12

stop anti-psychotics
rapid cooling and renal support
skeletal muscle relaxants - dontroline
dopamine agonist - bromocriptine

Question 13

how long do short term detentoin certificates last

Answer 13

28 days